Inspection on 05/07/07 for Kenway Court

This inspection was carried out on 5th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Kenway Court Kenway Court 5 Kenway Southend on Sea Essex SS2 5DX Lead Inspector Vicky Dutton Unannounced Inspection 5th July 2007 08.15 Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kenway Court Address Kenway Court 5 Kenway Southend on Sea Essex SS2 5DX 01702 440750 01702 440753 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.grooms-shaftesbury.org.uk Grooms-Shaftesbury Mrs Diane Katherine Alexander Care Home 24 Category(ies) of Physical disability (24) registration, with number of places Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Kenway Court is run by Grooms-Shaftsbury a national charity. The home is newly registered and is a new, purpose build building. The home offers personal care, nursing care and accommodation for up to 24 people with a physical disability. The home is built to a very high specification and offers spacious private and communal accommodation. All bedrooms, or flatlets, are for single occupancy and very spacious. Each room has a large en suite area that incorporates a level access shower. Rooms also include also a kitchenette area that is equipped with a sink, toaster, kettle, microwave and refrigerator. Rooms are set up for wireless internet access. The home is equipped throughout with environmental systems and appropriate equipment to assist people who have disabilities. Kenway Court is situated in the Prittlewell area of Southend on Sea. There are local amenities close by. The home is well served by public transport and has three vehicles available to assist people to access the local and wider community. Fees at the home are £1135.00 to £1450.00 per week. In addition to this residents pay for their own personal requirements such as hairdressing, alternative therapies and sky TV. A statement of purpose and service users information pack is available. The homes email addresses are adminsouthend@grooms-shaftesbury.org.uk for the office or mansouthend@grooms-shaftesbury.org.uk for the manager. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced ‘key’ site visit. The visit took place over a six and a half hour period. At this inspection all the key standards were considered. This was the first inspection of the home since it was registered in January of this year. Prior to the site visit the home had submitted their Annual Quality Assurance Assessment (AQAA.) They also provided a pre-inspection questionnaire (PIQ), and other additional information that assisted with the inspection process. At the site visit a tour of the premises took place, care records, staff records, medication and other documentation were selected and various elements of these assessed. During the site visit people living at the home, a visitor and some of the home’s staff were spoken with. As part of this key inspection questionnaires for social care professionals, visitors, health professional residents and staff were provided for the home to distribute. The views expressed at the site visit and survey responses have been incorporated into this report. The inspector was assisted at the site visit by an administrative assistant, the nurse on duty and other members of the staff team. Feedback on findings was given throughout the visit. A feedback card on the inspection process was left at the home. On the day of the site visit fourteen residents were living at Kenway Court. The inspector would like to thank the staff team, residents, relatives and visiting professionals for their help throughout the inspection process. What the service does well: Kenway Court has a warm and welcoming atmosphere. Residents have excellent opportunities to undertake educational and other activities both at the home and in the wider community. The accommodation provided for residents is very spacious and designed to meet the needs of people with disabilities. Because of this people feel that they can be more independent and have more control over their own lives. People living at Kenway Court and their families spoke very highly of the service and many positive comments were received. One said ‘since coming to Kenway Court my life has really started to take off and I feel so happy.’ Another said ‘I am really happy and well cared for too.’ Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 6 Residents living at Kenway Court felt that the care/nursing care offered at the home was very good and flexible to meet their needs. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People will have information made available to them about the home to help them to make informed choices. They can be sure that they will be offered the opportunity to visit the home, and have their needs assessed before moving in. EVIDENCE: The home is newly registered and an up to date Statement of Purpose was available in the home. An information/application pack was available to give out to potential residents. The AQAA submitted by the home said that a Service Users Guide in different formats is being developed to provide accessible information for new potential residents. When developed, the home’s Service Users Guide should include details of fees to be charged by the home. Residents living at the home were very much involved in planning their move to Kenway Court from the three John Grooms homes where they were previously living. One said that they were given regular updates on the buildings progress. ‘At these meetings we could voice any questions that we felt needed answering, and were satisfied with the answers given.’ At the site visit a new admission was expected on the following day. It was seen that a pre-admission assessment had been completed, and the care planning process commenced. Other admissions are currently being planned, and a phased approach was clearly in place. In one case an admission was Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 9 planned for August. The resident/their family had visited the home, chosen their room, had a name on the door in readiness, and were planning furnishing arrangements. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People know that their care needs will be understood and planned for. They can be sure that they will be encouraged to make choices and live as independently as possible. EVIDENCE: Residents living at Kenway Court felt that the care and support they received was ‘first class.’ Most have moved to the home together with staff that they knew from their previous small John Grooms homes. The home uses a computerised care planning and recording system called ‘saturn.’ The system provides a comprehensive package that allows all aspects or residents’ health care and social needs to be assessed, planned for and kept under review. Assessments, support plans, daily notes and other elements for two residents were viewed using the system. Information was well compiled and maintained. The system can be used by all staff to record information. The nurse on duty reviews entries and makes any additional notes on each Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 11 shift. It was not clear how residents or their families were involved in the care planning process, or if the system allowed for people to agree their care plans. The nurse on duty was unclear on this point and felt that for some residents this would not be possible. The whole ethos at Kenway Court is to support residents as individuals to live their lives as independently and as flexibly as possible within a residential environment. Through interactions during the site visit it was seen that residents are very much encouraged to be self determining. ‘Saturn’ allows for risk assessments to be undertaken in relation to residents individual care needs. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can be assured that they will have opportunities for personal development, and be able to participate in appropriate activities. They know that they will be able to maintain contact with friends and family. EVIDENCE: Kenway Court has facilities available, and adopts an enabling approach to providing residents with a meaningful lifestyle. Residents have the opportunity to develop skills and knowledge. Two residents have just completed college courses in different subjects. Residents told the inspector of other courses that they were looking forward to starting in September including computer studies and digital photography. Residents continue to enjoy the social contacts, for example the local PHAB club, that they took part in before the move to Kenway Court. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 13 The home has three vehicles available to assist residents in accessing the community. Some residents are able to go out and about independently. Residents spoken with said that they liked the central location of the home and the fact that they were able to come and go as they wished. The home is convenient for local amenities, which are used frequently by residents. Resources such as the mobile library visit the home. Residents’ are able to attend church when they wish. Kenway Court employs two activity co-ordinators who between them provide cover seven days a week. The home has a large activities room which provides a very good range of equipment including two computers with internet access. A wide range of opportunities and outings are available to residents. A monthly activities sheet is provided, to keep people informed of what is on offer. Each month an activities meeting is held so that people can say what they enjoyed, what did not work so well, and make suggestions for future activities. Further developments such as a sensory room are planned. Residents said that friends and family were able to visit at any time. A visitor’s room and other private areas are available for residents to use when having visitors. During the site visit staff promoted residents privacy and independence. Each room is supplied with a ‘do not enter’ sign that can be used when personal care is taking place, or other times. Residents confirmed that daily routines at the home are very flexible. One resident said ‘there is no structured time to get up, we decide what we want to do each day.’ Feedback on surveys confirmed that residents can do as they wish at any time of the day. Residents said that they enjoyed the food at the home and are offered a range of choices for main meals. Mealtimes can be flexible to accommodate residents’ needs. Records showed that if residents were out at mealtimes, a meal was saved for them or other arrangements made. The dining room at the home is spacious and lunchtime on the day of the site visit was a relaxed occasion. Residents who required assistance to eat were helped appropriately by staff. A drinks preparation area is available in the dining room so that residents can help themselves/have staff assist them to hot or cold drinks at any time. All bedrooms have a kitchen area so that residents have the facility to store food and prepare snacks/drinks if they wish. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that they will receive personal and healthcare support based on their individual needs. People cannot be sure that their medication is stored in optimum conditions. EVIDENCE: Most residents at Kenway Court require a significant level of assistance with their personal care and support. Support plans gave staff guidance on how to support individual residents with personal care. Kenway Court is fully equipped with POSSUM environmental systems and other aids to daily living. Residents felt that this was very beneficial and had greatly increased their ability to be independent, in comparison to their previous homes. One resident demonstrated how they could open and close their own windows, curtains and other equipment in their room. Residents’ preferred routines are recorded. Residents said that there were no restrictions on the times they came in, went to bed or got up. They said that staff were available at any time they needed them. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 15 Kenway Court provides nursing care. Therefore there is always at least one trained nurse on duty to monitor and attend to residents’ healthcare needs. One residents said, ‘I receive all the nursing care that I need which is really great.’ Records and discussion during the site visit showed that the home are proactive in responding to any changes in residents’ health. Residents currently living at the home are registered with one practice, and a doctor from that practice visits the home on a set day each week. Records showed that residents have different specialists involved with their care, and are supported to attend specialist or routine health/dental appointments as necessary. A member of staff said that this was now much easier. This was due to the homes central location and the availability of three vehicles and drivers reducing the need to rely on hospital transport with the long waits that this often caused. Medication at the home is mainly managed via a monitored dosage system (blister packs.) The system was generally well managed but it was noted that medication had not always been booked in on individual medication administration records. The temperature in the medication storage area is not routinely monitored. On the day of the site visit, in spite of a fan being on, a thermometer in the storage area was recording a temperature of 28 degrees Celsius. This is above recommended storage temperature for most medications. Medication is always administered by a trained nurse. It was confirmed that recent medication training had been undertaken. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know that they can raise concerns, and that they will be safeguarded from abuse. EVIDENCE: Kenway Court is newly registered and no concerns have been raised with the CSCI. It was not thought that any complaints/concerns had been raised with the home. On the day of the site visit the complaints book/recording system for compliments/complaints could not be found. Residents said that they would raise any concerns with their key worker or the manager. A complaints procedure was on display and copies available in residents’ bedrooms. The home’s complaints procedure needs some updating to include details of funding authorities, which people may contact if they wish and who have a duty to investigate complaints. Training records and survey responses showed that staff had undertaken training in safeguarding adults. Staff spoken with confirmed this and understood what abuse meant. Information on the protection of vulnerable adults and whistleblowing was available that included relevant contact details to use in the event of an incident occurring. One resident was identified as having behaviour that was challenging to staff and others. There did not appear to have been any staff training in this area. One member of staff was identified as having undertaken a ‘management of aggression’ course in 1997. Staff surveys confirmed that no training in this area had been undertaken. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable home that is highly suited to meet their needs. EVIDENCE: Kenway Court is newly registered and purpose built to meet the needs of people with disabilities. It is situated in a residential area that allows access to local amenities. The home is finished to a high specification and provides a comfortable and well equipped environment for residents. Residents spoken with were very much enjoying their new home and the space and equipment available to them. Residents spoke of having ‘a new lease of life.’ Staff said, and residents agreed, that their level of independence and confidence had increased since living at Kenway Court. The home employs two general hands to manage maintenance and routine checks of systems and appliances. Each resident has their own bed sitting room or ‘flatlet,’ which, according to the home’s service users information booklet, provides at least 35 sq. metres of space. Rooms include a large en suite area with shower, and a kitchen Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 18 area. There is plenty of space for equipment and personal possessions. Residents told the inspector of how they had been able to choose the colours for their rooms before moving in. Rooms were personalised and reflected individual interests. In addition to each room having an en suite with shower available the home also has three large assisted bathrooms. Communal toilets are available. Communal areas of the home are very spacious, with rooms available for a variety of purposes. Compact but pleasant outdoor space is available for residents, some of whom enjoy tending plants in the raised beds. Staffing facilities are provided on the second floor of the home and include staff room, toilets, locker room with a shower facility and a training room. As previously stated the home is purpose built to a high specification. POSSUM systems, automatic doors, sensor lights and other aids to meet individual assessed needs are available. The home was clean and fresh. The home employs a housekeeper and domestic staff. A resident said that the home was ‘always scrupulously clean.’ A good laundry area is available on the first floor of the home. No residents choose to do their own laundry, but the facility for this is available. The home has three sluices available. Most staff at the home have undertaken training in infection control and appropriate policies and procedures are available. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be assured that they will be assisted by safely recruited, well trained and motivated staff. EVIDENCE: Residents spoke highly of the staff at Kenway Court, felt that they understood their needs, and were kind and considerate. A resident said that staff always spoke and acted respectfully towards them. Training records identified that many staff at the home have completed disability awareness training. Across the staff team there is a good level of training and relevant competencies identified in many areas including palliative care, swallowing and communication, epilepsy awareness, and bereavement. The home has approximately thirty two care staff in post. On the home’s pre inspection questionnaire it was identified that eleven care staff hold a National Vocational Qualification (NVQ) at level two or above. At the site visit it was identified that approximately a further 10 staff are currently undertaking an NVQ. Those spoken with were enthusiastic and keen to complete this training. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 20 The files of two recently recruited staff showed that staff are recruited safely to protect residents. Those viewed had POVA first checks, Criminal Records Bureau checks, references and other required elements in place. However, a recent photograph was not available in all cases. A new member of staff spoken with said that they had received a good induction into the home and after three months they were just completing this. A record of this could not be found, but others were available that showed that staff go through a comprehensive induction programme. A survey response said that the induction undertaken had been ‘excellent.’ Staff training is tracked by the use of ‘Continual Personal Development’ sheets. These identify the training undertaken by individual staff. Another file had individual sheets for each staff member which identified training needs and details of prospective training with planned dates. From these it was seen that the home are steadily working towards ensuring that all staff are trained and competent in all relevant areas. The home has a staff training room available, which contains a library of resources, television, video and DVD player. Staff said that they found the resource useful and were allowed to take time out to spend on NVQ work, or to look up other information relevant to their job. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from living in a well managed home that has clear leadership, and where their views are sought and listened to. EVIDENCE: The newly registered manager is a registered general nurse who has many years experience in care. The home has an open and inclusive atmosphere. Regular residents meetings are held. Minutes of these showed that people are encouraged to be involved in the development of the home and to express their views. Regular staff meetings are also held. As the home is new, specific quality assurance exercises have not as yet been undertaken. However John Grooms have previously demonstrated a strong Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 22 commitment to quality assurance. A quality assurance exercise and development plan dating from March 2006 was seen. This related to one of the homes whose residents moved into Kenway Court, and was very detailed. All systems and services at the home are new. Records showed that processes are in place and carried out for regular checks to be carried on fire alarm systems, water systems and equipment. Staff training in core areas is ongoing, and the home are currently putting in a lot of work to ensure that all staff are trained and up to day in key areas. However a staff training matrix showed that there is still some way to go in this. Many staff are identified as requiring update moving and handling training. Other staff require training in health and safety and food hygiene. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 4 28 4 29 4 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 2 X 3 3 3 X X 2 X Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA7 Good Practice Recommendations Management at the home should be able to evidence that they work with residents/their families to formulate and agree care plans. Medicines at the home should be stored in a suitable environment at optimum temperatures. All medication coming into the home should be properly booked in to provide an audit trail. The home’s complaints procedure should be revised to include the contact details of the relevant Local Authority/s who people can refer to in the event of a concern or complaint. Staff should receive training in managing challenging behaviour so that they can assist residents in a competent manner. DS0000070235.V344737.R01.S.doc Version 5.2 Page 25 2. 3. 4. YA20 YA20 YA22 5. YA23 Kenway Court 6. YA42 Work to ensure that all staff are trained / updated in core areas such as moving and handling should continue as quickly as possible to ensure that residents are cared for safely by skilled staff. Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kenway Court DS0000070235.V344737.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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